Top

20

Doctor insights on:
Best Acne Scars Treatment

1

Options exist:
Consult with a board certified plastic surgeon or dematologist to evaluate your personal options. This may include lasers, chemical peels, dermabrasion or prescription skin care. There are many options and you need a regimen tailored to your specific situation and expected results.
...Read more

Acne scars are much deeper than the 2 dimensional blemish on the surface. The collagen fibers may extend through the subcutaneous fat to pull the surface down toward the underlying fascial layers. This creates the three dimensional "pit" common with aggressive inflammatory lesions.
...Read more

3

Fading creams:
The gold standard for lightening dark marks is hydroquinone. You can purchase fading creams that contain 2-3% hydroquinone without a prescription (ambi, atra, porcelana, nadinola, to name a few). You should also be careful to protect your skin with sunscreen, as sun will make dark marks darker. Stronger prescription fading creams and chemical peels exist. Pitted scars require laser resurfacing.
...Read more

4

Acne scar revision:
There are many therapies used in acne scar revision, and none is the best. Your scars will be evaluated and classified. A unified approach with multiple therapies will be outlined. Improvement, not perfection, is the goal.
...Read more

5

Yes & No:
There are two types of acne scars. Craters and ice-pick. The ice-pick scar has sharp borders whereas the crater has smoother borders. Ice-pick variety of scars have to be excised and can be done quite easily with small punch biopsies. The crater variety can be helped with multiple sessions of microdermabrasion.
...Read more

6

Acne scars are stubborn, and no single treatment is best for everyone:
Various methods may help improve your complexion. Your doctor may suggest one or a combination of these. Home skin care. , Soft tissue fillers. , Laser resurfacing. , Other energy-based procedures. , Dermabrasion. , Chemical peeling. , Needling or rolling. , Surgery. , Botox injections. . To determine what's best for you, discuss the pros and cons of each procedure with your doctor or dermatologist.
...Read more

7

Acne scars:
One important factor is prevent new scars-get your acne under control. Find a dermatologist to tackle that with you. Most treatment to improve the appearance of acne scars use special technology to remodel the skin. The device I use to treat acne scars is called ematrix--see for info: http://www.Smacboca.Com/e-matrix-sublative-rejuvenation.Html
other options include laser, microderm, or subscision.
...Read more

8

Scientific Rx:
If topical benzoyl peroxide hasn't worked in two weeks, get with your physician. Home remedies are only an adjucnt. Acne is a serious, chronic, non-lifestyle-related disease that cannot be cured, will remit in time, and can be managed. Topical Clindamycin often clears milder cases; acne on the trunk tends to require systemic rx.
...Read more

10

Scientific Rx:
If you are male and still have acne while on benzoyl peroxide and clindamycin, your physician may try a systemic antibiotic such as tetracycline 500 2x/day. Or if this is deep / cystic / severe acne, it may be time to consider accutane. For the scars, a dermatologist can abrade, fill, operate and/or laser; your choice, but note the hollywood stars who keep their scars for character. Good luck.
...Read more

11

Often very good:
Mechanical dermabrasion (not microdermabrasion) can provide a "plane" removal of the acne scar edges, smoothing and flattening of the scar depressions. Better on scars that are crater-like (pox scar example) than deep "pit" type scars (called ice pick types). May require more than a single treatment, as there are limits to depth. New skin from oil & sweat glands and hair follicle to resurface.
...Read more

12

Usually not:
Micro-dermabrasion is best suited for removal of dead cells from the skin surface. Does not go deep enough to effectively reduce the depth of scarring or produce an adequate reaction under the skin to help smooth the base.
...Read more

13

Retinoic acids:
If these are a lot of comedones, it may be helpful to use a topical retinoic acid derivative rather than benzoyl peroxide as the first treatment. If this doesn't clear you, your physician can try various prescription-strength treatments.
...Read more

14

Surgical Tx best:
The best and quickest resolution may be excision of the hypertrophic scar. Steroid injections will not affect the scarring that has occurred. The best cosmetic result is achieved with a simple excision which removes hypertrophic scar and also the pitting and depressions that are typical of acne scars. Removing a few of the most prominent scars will make your whole face look better. Best regards, .
...Read more

16

Treat acne first:
Active acne must be taken care of first. Once that is done, then scarring can be addressed with a variety of treatment options depending on your skin type, the depth of scar, presence of other skin problems etc. Your facial plastic surgeon or dermatologist may recommend peels, lasers, scar revisions, dermabrasion or other techniques. Good luck!
...Read more

17

First control acne:
Acne is a complex disease treated with a variety of approaches ranging from topical anti-inflammatories, antibiotics, as well as hormonal, medical regimens and surgery. Each case is individually treated and it is difficult to recommend a single cure. See a dermatologist first.
...Read more

18

Type dependent:
If shallow, crater-like scars, use of mechanical dermabrasion is probably most effective. Use of lasers, chemical peels or punch/excisions are optional. Most difficult to treat are the "ice-pick" variety, which may end up looking like enlarged pores regardless of the therapy provided. Proper skin care and avoidance of acne infections is the best....Do not squeeze or pick such lesions if active.
...Read more

19

Acne scars:
It is unlikely that your skin will be clear but it can be improved. Treatment must be based on addressing the active disease (usually with oral retinoids and/or systemic or topical antibiotics and skin care regimen) and then using other methods to address the established scars. This can include peels, lasers, dermabrasion, surgery, grafts, fillers, grafts, etc.
...Read more